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MARK J CACCIAMANI MD
NPI 1063500163
Family Medicine in Salt Lake City, UT

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
466 E 500 S STE 200, SALT LAKE CITY, UT 84111(801) 485-5055(801) 467-3296 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 19, 2024, Nov 12, 2020 (2 updates tracked since 2020).

About Mark J Cacciamani Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK J CACCIAMANI MD (NPI 1063500163) is an individual family medicine provider in Salt Lake City, Utah, licensed in Utah (49426771205) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1999).

NPPES Registry Identity

NPI1063500163
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK J CACCIAMANICredential: MD
Location Address466 E 500 S STE 200Salt Lake City, UT 84111-3350
Mailing Address522 E 100 SSalt Lake City, UT 84102-1905 · (801) 485-5055 · Fax (801) 467-3296
Phone(801) 485-5055
Fax(801) 467-3296
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1999
Enumeration DateOctober 11, 2006
Last NPPES UpdateAugust 19, 20242 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1063500163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 49426771205
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

466 E 500 S STE 200, Salt Lake City, UT 84111
Open in Google Maps ↗

Other Identifiers 2

MedicaidD4498UT
Other000057838UT · Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Health Plan of the Southwest, Inc., Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark J Cacciamani Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537057773
PECOS Enrollment IDI20040309000328, I20180815002622
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
151 services46 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
59 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$70.41 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$34.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MA BO INC
Family Medicine
466 E 500 S STE 200
SALT LAKE CITY, UT 84111
Salt Lake County (801) 485-5055
MA BO INC
Family Medicine
466 E 500 S STE 200
SALT LAKE CITY, UT 84111
Salt Lake County (801) 485-5055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Cacciamani's NPI number?

The NPI number for Mark Cacciamani is 1063500163. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Mark Cacciamani located?

Mark Cacciamani practices at 466 E 500 S Ste 200, Salt Lake City, UT 84111. The listed phone number is (801) 485-5055.

What is Mark Cacciamani's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Cacciamani enrolled in Medicare?

Yes. Mark Cacciamani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Cacciamani accept?

Health plans from Imperial Health Plan of the Southwest, Inc., Select Health and University of Utah Health Plans list Mark Cacciamani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Cacciamani was last updated on August 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.